Duluth Medical Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38981 Issued in GA

Legal business name

DULUTH MEDICAL CENTER, LLC

Doing business as

SugarHill Medical and Spine Center

Practice address

1400 Buford Hwy
Building R-1
Buford, GA 30518-8721

Phone

(770) 831-9202

Fax

(678) 730-7777

NPI assigned

Oct 28, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eddy Lajara

Title

General Manager

Phone

(770) 831-9202

Specialties & licenses 2

Addresses

Other names 1

• SugarHill Medical and Spine Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1104221514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BUFORD HWY",
            "address_2": "BUILDING R-1",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188721",
            "telephone_number": "770-831-9202",
            "fax_number": "678-730-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BUFORD HWY",
            "address_2": "BUILDING R-1",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188721",
            "telephone_number": "770-831-9202",
            "fax_number": "678-730-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULUTH MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "LAJARA",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "770-831-9202"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008572",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "38981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SugarHill Medical and Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr James L Purvis, LLC
• Hannah R Driver, DC
• Reginald Drumgoole, R.N.-N.P.
• Yailet Duarte- Garcia
• Jennifer Lauren Duff, ATC, LAT
• Herbert Dunbar
• Jackie Kendell Dunbar, PHARM.D.
• Sha'Rhonda Dunbar, LCSW
• Megan J Duncan Binstock, P.A.
• Catelyn Dake Durham, MS, LPC

• Family Medicine Physician in Buford, GA
• Providers in Buford, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.